• A&A practice · Mar 2018

    Implications of Mitochondrial Dysfunction for the Anesthetic and Perioperative Management: A Case Report of Spinal Fusion, Genetic Confusion, and a Patient's Perspective.

    • Linda S Aglio, Brian T Lockhart, Jeantine E Lunshof, and Christoph S Nabzdyk.
    • From the Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts; Department of Genetics, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands; and Department of Genetics, Harvard Medical School, Boston, Massachusetts.
    • A A Pract. 2018 Mar 1; 10 (5): 103-106.

    AbstractWe describe a patient's personal struggle with a symptom complex consisting of profound muscle weakness requiring pyridostigmine, and metabolic abnormalities suggestive of mitochondrial disease. This included a profound sensitivity to opioids, which in the past caused severe respiratory depression during a prior hospital admission. Interestingly, the patient herself is a professor of ethics in genomic sciences, and she and her medical team thus far have not been able to formally diagnose her with mitochondrial disease. The patient now presented for a multilevel lumbar spine fusion and her hospital course and perspective on her medical odyssey are described here.

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